Individual
MRS. TERESA MARIE RAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
2003 KOOTENAI HEALTH WAY STE 310, COEUR D ALENE, ID 83814-6051
(208) 625-4470
(208) 625-4471
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
64651
ID
363LF0000X
Family Nurse Practitioner
Primary
64651
ID
363LP2300X
Primary Care Nurse Practitioner
64651
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497376685
—
ID
Enumeration date
04/29/2020
Last updated
07/22/2025
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